| Jbw Psychological Services Llc | |
| 
					43 Broad St Ste B206 Hudson MA 01749-2565  | |
| (781) 693-3200 | |
| Not Available | 
| Full Name | Jbw Psychological Services Llc | 
|---|---|
| Speciality | Psychologist | 
| Location | 43 Broad St Ste B206, Hudson, Massachusetts | 
| Authorized Official Name and Position | Jennifer Beth Warkentin (OWNER) | 
| Authorized Official Contact | 7816933200 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Jbw Psychological Services Llc 43 Broad St Ste B206 Hudson MA 01749-2565 Ph: (781) 693-3200  | Jbw Psychological Services Llc 43 Broad St Ste B206 Hudson MA 01749-2565 Ph: (781) 693-3200  | 
| NPI Number | 1568996528 | 
|---|---|
| Provider Enumeration Date | 04/17/2017 | 
| Last Update Date | 10/04/2022 | 
| Certification Date | 10/04/2022 | 
| Medicare PECOS PAC ID | 6800169277 | 
|---|---|
| Medicare Enrollment ID | O20170906002866 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1568996528 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 9122 (Massachusetts) | Secondary | 
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary | 
| Provider Name | Jeannie Plugis | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1962585299 PECOS PAC ID: 4284711599 Enrollment ID: I20080411000030  | 
| Provider Name | Jennifer B Warkentin | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1952620015 PECOS PAC ID: 2769506070 Enrollment ID: I20100824000133  | 
| Provider Name | Meaghan E Decker | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1972949675 PECOS PAC ID: 7416219811 Enrollment ID: I20180323000688  | 
| Provider Name | Priyadarshini Tikku | 
|---|---|
| Provider Type | Practitioner - Mental Health Counselor | 
| Provider Identifiers | NPI Number: 1225805229 PECOS PAC ID: 8628420296 Enrollment ID: I20240118003997  | 
| Provider Name | Stephen Wright | 
|---|---|
| Provider Type | Practitioner - Mental Health Counselor | 
| Provider Identifiers | NPI Number: 1639838733 PECOS PAC ID: 5991145609 Enrollment ID: I20240429002071  | 
| Provider Name | Matthew R Cote | 
|---|---|
| Provider Type | Practitioner - Mental Health Counselor | 
| Provider Identifiers | NPI Number: 1235960733 PECOS PAC ID: 0648701821 Enrollment ID: I20240927002928  | 
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